Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $2,329.00 / $4,933.00	Facility		$264.70	$2,329.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.15 / $1,029.32 / $1,552.17	Professional		$222.15	$1,029.32	$1,552.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,976.38 / $10,544.23 / $21,087.32	Facility		$4,976.38	$10,544.23	$21,087.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $83.90 / $357.35	Professional		$54.94	$83.90	$357.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $643.94 / $1,981.61	Professional		$213.12	$643.94	$1,981.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $4,112.00 / $4,933.00	Facility		$264.70	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $253.90 / $1,149.23 / $1,834.76	Professional		$253.90	$1,149.23	$1,834.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $970.83 / $1,221.37 / $1,773.92	Professional		$970.83	$1,221.37	$1,773.92
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,438.00 / $2,449.00	Facility		$717.00	$1,438.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.67 / $1,655.84 / $2,441.65	Professional		$1,377.67	$1,655.84	$2,441.65